Paget's disease of the nipple

Also called Paget's disease of the breast or Mammary Paget disease

Paget's disease of the nipple is a rare condition where the skin of the nipple and the darker area around it (areola) becomes red, scaly, itchy or sore. It looks like eczema, but it is usually a sign of breast cancer in the tissue behind the nipple. It mostly affects women over 50, but it can affect men.

Last updated Nov 9, 2026

What it is

Most people also have a breast cancer, which may be early (ductal carcinoma in situ) or invasive.

Treatment usually involves surgery and may include radiotherapy and other breast cancer treatments. A specialist breast team plans care.

Common signs

  • A red, scaly or crusty nipple
  • Itching, burning or soreness of the nipple
  • Discharge or bleeding from the nipple
  • A flattened or turned-in nipple
  • A lump in the breast

How it is usually diagnosed

  • Breast examination
  • Mammogram and ultrasound
  • A skin biopsy of the nipple

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Mammogram and ultrasound reports
  • Biopsy and pathology reports
  • Breast clinic letters
  • Treatment plans

Questions to ask your doctor

  • Is there a cancer behind the nipple?
  • What surgery do you recommend?
  • Will I need other treatment after surgery?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Any nipple rash that does not clear with eczema treatment within 2 weeks: see a GP soon

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

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